| NPI | 1376764522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: NJ 40QA00609700) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: PA PT006043L) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |